Individual provider Active NPI

Rick James Kelly

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1124493861
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
89984 Issued in CA
Practice address
8950 Cal Center Dr Ste 340
Sacramento, CA 95826-3225
Phone
(916) 254-5200
NPI assigned
Dec 7, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 68420 CA
Clinical Social Worker 1041C0700X 89984 CA Primary

Addresses

Primary practice location

8950 Cal Center Dr Ste 340
Sacramento, CA 95826-3225

Mailing address

8950 Cal Center Dr Ste 340
Sacramento, CA 95826-3225
Phone (916) 254-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191031001718 CA Practitioner - Clinical Social Worker 4082946678 Reassigns benefits to 1 organization
Practice locations: Chico, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68420CAMDMental Health Counselor
89984CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Butte Current Accepting new patients
County of Butte CurrentSince Aug 10, 2019 Accepting new patients
Alternative Family Services, Inc CurrentSince Jun 29, 2025 Accepting new patients
County of Butte CurrentSince Aug 10, 2019 Accepting new patients

Locations

560 Cohasset Rd
Ste 175
Chico, CA 95926
Phone (530) 552-5076

3217 Cohasset Rd
Cohasset, CA 95973
Phone (530) 552-4578

995 Spruce St
Gridley, CA 95948
Phone (530) 846-7305

8950 Cal Center Dr
Ste 340
Sacramento, CA 95826
Phone (916) 254-5200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1124493861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 CAL CENTER DR STE 340",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263225",
            "telephone_number": "916-254-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 CAL CENTER DR STE 340",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263225",
            "telephone_number": "916-254-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "RICK",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-07",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "68420",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "89984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.